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Standard Assessment of Concussion

Orientation (1 point each)
1 - Month
2 - Date
3 - Year
4 - Time (witin 1 hour)
Total Orientation Score: 5

Immediate Memory (1 point each correct, total over 3 trials)
1- Word 1
2-Word 2
3-Word 3
4-Word 4
5-Word 5
Total Immediate Memorey score: 15

Concentration (reverse digitis; go to nest string if correct on first trial; stop if incorrect on both trials; one point for each)
1- 3-8-2 5-1-8
2- 2-7-9-3 2-1-6-8
3- 5-1-8-6-9 9-4-1-7-5
4- 6-9-7-3-5-1 4-2-8-9-3-7
5- Months of the year in reverse order (1 point for entire sequence)
Total Concentration score: 5

Delayed Recall (@ 5 minutes after immediate memory; 1 point each)
1- Word 1
2-Word 2
3-Word 3
4-Word 4
5-Word 5
Total Delayed Recall score: 15

Total Score: 30

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